| NPI | 1073753216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 273819) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 005459) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2018-03-17 |